MEDICARE: OCULUS RADIOLOGY SOLUTIONS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085B0100X	Body Imaging Physician	K2421	TX
2	2085D0003X	Diagnostic Neuroimaging (Radiology) Physician	K2421	TX
3	2085H0002X	Hospice and Palliative Medicine (Radiology) Physician	K2421	TX
4	2085N0700X	Neuroradiology Physician	K2421	TX
5	2085N0904X	Nuclear Radiology Physician	K2421	TX
6	2085P0229X	Pediatric Radiology Physician	K2421	TX
7	2085R0204X	Vascular & Interventional Radiology Physician	K2421	TX
8	2085U0001X	Diagnostic Ultrasound Physician	K2421	TX
9	2085R0202X	Diagnostic Radiology Physician	K2421	TX

General Provider Information

NPI Number	:	1508230913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCULUS RADIOLOGY SOLUTIONS, PLLC

Provider Business Mailing Address
First Line	:	1820 PRESTON PARK BLVD
Second Line	:	SUITE 1825
City	:	PLANO
State	:	TX
Zip	:	75093-5215
Country	:	US
Telephone Number	:	972-867-7862
Fax Number	:	972-612-1160

Provider Business Practice Location Address
First Line	:	1820 PRESTON PARK BLVD
Second Line	:	SUITE 1825
City	:	PLANO
State	:	TX
Zip	:	75093-5215
Country	:	US
Telephone Number	:	972-867-7862
Fax Number	:	972-612-1160

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. JOHN DAVID BONDY
Credential	:	M.D.
Telephone Number	:	972-867-7862

Provider Enumeration Date	:	11/23/2015
Last Update Date	:	02/24/2017

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